COURSE BOOK B.

INGGRIS II – PART 2

COURSE BOOK

B. INGGRIS II
(MATERIALS USED ONLY FOR INTERNAL CAMPUS)

PART 2

PRODI S1 KEPERAWATAN

Arrange By:
Nita Yuanita, S.Pd., M.Si.

Lectured by:
Drs. H. Yun Surtiana, M.A.
Nita Yuanita, S.Pd., M.Si.

STIKes Karsa Husada Garut

2021
 COURSE BOOK B. INGGRIS II – PART 2

PROGRAM STUDI S-1 KEPERAWATAN

SEKOLAH TINGGI ILMU KESEHATAN KARSA HUSADA GARUT
Jl. Nusa Indah No.24 Tarogong Kaler, Kabupaten Garut, Jawa Barat
Telp. 0262-4704803 Fax. 0262-235946
RENCANA PEMBELAJARAN SEMESTER
(RPS)
Mata Kuliah Kode MK Bobot Semester Tanggal Penyusunan RPS Disusun oleh

B. Inggris II C506 2 SKS (1T,1P) V (lima) 10 September 2021 Nita Yuanita, S.Pd., M.Si.
Tim Pengembang RPS Koordinator Mata Kuliah Ka PRODI S1 Keperawatan SKHG
OTORISASI • Nita Yuanita, S.Pd., M.Si. Ttd
• Drs. H. Yun Surtiana, M.A.
Nita Yuanita, S.Pd., M.Si. Iin Patimah, M.Kep.
CPL-PRODI (Capaian Pembelajaran Lulusan Program Studi) Yang Dibebankan Pada Mata Kuliah
Lulusan Prodi S1 Keperawatan dapat memiliki kemampuan:
Mengetahui tentang konsep Bahasa Inggris II dalam Keperawatan
CPMK (Capaian Pembelajaran Mata Kuliah)
Capaian Pembelajaran
CPMK 1 Membaca dan menjelaskan instruksi medis dan/atau tim kesehatan terkait catatan medis pasien dalam bahasa Inggris
CPMK 2 Mengidentifikasi perintah/instruksi dalam percakapan bahasa Inggris di kelas atau simulasi seting pelayanan kesehatan
CPMK 3 Menulis/mendokumentasikan laporan kegiatan asuhan keperawatan yang diberikan ke pasien
CPMK 4 Berkomunikasi bahasa Inggris aktif dalam pembelajaran di kelas dan dalam simulasi pelayanan kesehatan
Mata kuliah ini membahas tentang integrasi empat kemampuan dasar berbahasa Inggris yaitu berbicara, mendengarkan, membaca,
dan menulis termasuk aspek-aspek tata bahasa dan kosakata kedalam ruang lingkup pelayanan dan pekerjaan keperawatan baik
Deskripsi Singkat
dalam praktik klinik/komunitas maupun pada pembelajaran di kelas dan/ atau di laboratorium. Pada tahap lanjut, mata kuliah ini
Mata Kuliah
mempersiapkan mahasiswa untuk bisa mendapatkan nilai skor TOEFL/ IELTS yang memadai untuk melanjutkan pendidikan ke jenjang
yang lebih tinggi atau bekerja di luar negeri.
BAHAN KAJIAN/ POKOK BAHASAN MK
CPMK 1 1. Pengantar bahasa Inggris untuk profesi kesehatan
2. Review anatomi dan fisiologi manusia
3. Berfikir kritis
4. Catatan medis (medical record) pasien
CPMK 2 1. Lingkungan rumah sakit dan pelayanan kesehatan lainnya
2. Sistem pencatatan dan pelaporan kesehatan
3. Nursing Skills
CPMK 3 1. Sistem pencatatan dan pelaporan kesehatan
Bahan Kajian/ 2. Pengkajian keperawatan pada pasien dan keluarga
Pokok Bahasan MK 3. Intervensi keperawatan
4. Dokumentasi asuhan keperawatan
CPMK 4 1. Pengantar bahasa Inggris untuk profesi kesehatan
2. Anatomi dan fisiologi manusia
3. Berfikir kritis
4. Lingkungan rumah sakit dan pelayanan kesehatan lainnya
5. Sistem pencatatan dan pelaporan kesehatan
6. Pengkajian keperawatan pada pasien dan keluarga
7. Intervensi keperawatan
8. Dokumentasi asuhan keperawatan
9. Kerjasama tim dalam pelayanan kesehatan
Metoda pembelajaran dilakukan secara Cooperative Learning dengan mengkombinasikan berbagai aplikasi untuk mengoptimalkan
kegiatan pembelajaran dalam bentuk daring diantaranya menggunakan aplikasi Whatsapp Group sebagai media live chat; Zoom
Meeting/ MS team untuk video conference pada pembahasan kajian yang memerlukan tatap muka; Google form untuk absensi,
Metode dan Media Pembelajaran
exercise maupun ujian UTS/ UAS serta MS. Power Point, MS. Word/ Pdf yang memuat gambar ataupun video explaination untuk
penyampaian materi sebagai pengganti LCD Proyektor, Papan Tulis dan berbagai media pembelajaran lain yang biasa digunakan
dalam pembelajaran di kelas.
Penilaian akhir pada pembelajaran ini didasarkan pada aspek-aspek Nilai Absolut Nilai Huruf Nilai Angka (Mutu)
86-100 A 4
berikut: 81-85 A- 3,7
a. Kehadiran : 10 % 76-80 B+ 3,3

Penilaian dan Pembobotan b. Tugas : 10 % 71-75 B 3,0

c. Aktivitas : 10% 66-70 B- 2,7
61-65 C+ 2,3
d. Skor UTS : 30 % 56-60 C 2,0
e. Skor UAS : 40 % 40-55 D 1
<40 E 0
Utama
• Ardiansyah. (2004). Let’s Speak English, Nurse!. Jakarta: EGC
• Djauhari, Imam D. (…). Mastery on English Grammar. Jakarta: -
• Grice, Tony. (2009). Everyday English for Nursing, 1st & 2nd ed.. Jakarta: EGC
• Murphy, Raymond. (1987). English Grammar in Use: A self-study reference and practice book for intermediate students.
Cambridge: Cambridge University Press
• Nursalam. (2010). English in Nursing-Midwifery Science and Technology. Jakarta: Salemba Medika
• Philips, Deborah. (2001). Longman Complete Course for the Toefl Test. NY: Longman
Pustaka • Pramudya, Leo A. (2011). English for the Professional Nurses, Course Book 1 & 2. Jakarta: EPN Consultant
• Richards, Jack C. (1984). Person to Person. England: Oxford University Press
• Rizka, Haira, dkk. (…). English for Nursing: Practical English Conversation for Professional Nurses. Yogyakarta: Pustaka Baru Press
Pendukung:
• www.englishmed.com;
• www.englishclub.com;
• www.languageguide.org/english/vocabulary;
• www.businessenglishsite/nursing_english1-2-3;
serta berbagai sumber yang dapat menunjang pembelajaran.
• Drs. H. Yun Surtiana, M.A. (YS)
Dosen Pengampu
• Nita Yuanita, S.Pd., M.Si. (NY)
Mata Kuliah Syarat -
 COURSE BOOK B. INGGRIS II – PART 2

8.1. ESTABLISHING A RELATIONSHIP

(GREETING & INTRODUCING)
Study the conversation below!
Dave : Its nice hospital, isn’t it?
Jane : Yeah… Really
Dave : By the way, my name is David Brian.
Jane : Glad to see you Mr. Brian, I am Jane Johnson.
Dave : Just call me Dave. By the way, where are you from, Jane?
Jane : I am from Canada and you?
Dave : I am from Sydney, Australia and what are you, Jane?
Jane : I am a student nurse
Dave : Great, I’m a staff nurse here
Jane : Well Dave, I have to go, nice to meet you
Dave : Nice to meet you too, Jane. See you later
Jane : Okay… see you, bye..

Note:
✓ Use a title with a full name or with a family name:
“Hello Mr. David Brian” or “Hello Mr. Brian” NOT “Hello Mr. Dave Brian” or
“Hello Mr. Dave”
✓ Use a full name, first name or short name without a title
“I am David Brian” or “I am Dave” NOT “I am Brian”

USEFUL EXPRESSION
Greeting
• Hello…/ Hi…
• Good Morning (until 1 mid.days)
Afternoon (until dark)
Evening (after dark)
• How do you do?
• How are you (today)?
Very well, thanks

Leaving
• Now, I need to visit other patients, see you
• I hope you get better soon, see you later
• Goodbye, Have a nice nap (when the patient’s going to have afternoon rest)
• Good night/ Sleep tight, Ma’am (when the patient is going to sleep in the night
• Pleased to meet you/ Nice to see you

Introducing oneself and initial nursing intervention

• I am…. (your name)/ My name is … (your name)
• Let me introduce myself
• I am Nurse …, I will take care of you today
• Hello, my name is Ns. … I’m in charge of you today
• If you need (anything/ help/ something/ assistance)
please just press the call button, a nurse will help you

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 COURSE BOOK B. INGGRIS II – PART 2

Introducing other person (friends, co-workers)

• This is… (name)
• May I introduce you to… (name)
• Let me introduce you to + (name, my friend/sister/ partner, etc.)

Addressing Someone
• How can I address you?
• Is it “Miss or Mrs…”?
• May I address you with…?
• How should I call you?

Reponse:
• Please, address me with my first name/ Miss/…
• Call me…/ You can call me …
• You may address me…
• Why don’t you call me …

Study the conversation below!

Nurse Dina : Good morning, Sir?
Patient : Good morning, nurse.
Nurse Dina : I want to introduce you to Nurse David, he is a nurse in charge today because my
shift nurse will be over this morning.
Nurse David : How are you feeling today, Sir?
Patient : Not very well I think
Nurse David : Don’t worry, Sir. I will take care of you today.
Your name I written here “Mr. Kevin Adrian Smith Johnson”, how can I address you?
Patient : You may address me Mr. Johnson or you can just call me Kevin
Nurse David : All right Mr. Johnson, we’ll do our best for your better health condition. If you need
something, please just press the call button, me or other nurses will help you.
Patient : OK. Thank you, nurse.
Nurse David : Now, I need to visit other patients. See you later.
Patient : See you.

EXERCISE
Fill in the blank with suitable expressions!
Ns. Rosa : Hi, what’s your name? These will help you:
New Nurse : …………………….…………… a. Nice…
Ns. Rosa : I’m Rosa. I haven’t seen you before. b. My name’s…
New Nurse : …………………….…………… c. I’m from…
Ns. Rosa : Where are you from? d. Yes, I’m a new nurse here
New Nurse : …………………….…………… e. I’ve been in this country for…
Ns. Rosa : How long have you been in this country?
New Nurse: …………………….……………
Ns. Rosa : Nice to meet you.
New Nurse : …………………….……………

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 COURSE BOOK B. INGGRIS II – PART 2

8.2. HEALTH PROBLEMS IN HUMAN BODY

CONVERSATION
Patient : Excuse me, Nurse. Can you help me?
Nurse : What’s the problem, Sir?
Patient : I have pain in my stomach.
Nurse : Your stomach pains? Would you point at the location of your pain?
Patient : It’s in here, in the upper part of the abdomen.
Nurse : OK, I will report your condition to the doctor
Let’s consult to your doctor for sure

USEFUL EXPRESSION
Asking Response
• What’s the matter? • I have …
• What’s wrong with you? • I got …
• How do you feel today? • I feel …

Example useful expression in a short conversation

Ami : What’s the matter?
Betty : I have a headache.
Ami : Owh...that’s too bad.

Cathy : What’s wrong with you?

Deasy : I got a sore throat
Cathy : Oh...I’m sorry to hear that

Eric : How do you feel today?

Felix : I feel terrible, I have pain on my chest.
Eric : Really! Hopefully you fell better

COMMON QUESTIONS ABOUT HEALTH PROBLEM

Nurse:
What’s the problem?
How are you feeling today?
What makes you call me?
What’s your chief complaint?
What’s troubling you?
What’s the matter with you?
What’s wrong with you?
What seem to be bothering you?

Doctor:
What are the symptoms?
What is he complaining about?

COMMON RESPONSES FROM THE PATIENTS

I have + (a part of the body+ ache) I have + ( a sore+ parts of the body)
e.g. I have a toothache e.g. I have a sore throat
a headache a sore foot
a stomachache a sore arm
a backache a sore knee

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 COURSE BOOK B. INGGRIS II – PART 2

I cut/ broke/ hurt my (possessive) + part of the body I sprained my (possessive)+ joint problem
e.g. I cut my finger e.g. I sprained my ankle
broke collarbone elbow
hurt leg knee

I experience+ kind of symptom/ physical problem I suffer from+ kind of certain illness
e.g. I experience lassitude e.g. I suffer from cancer
low back pain constipation
difficulty breathing vertigo

I have/ get+ kind of physical problem I feel + kind of physical problem

e.g. I have the measles e.g. I feel dizzy
get the flu sick
a cold cold and clammy
bloody vomit and stool unwell
a bowel movement in bad shape
a bad cough fever

EXERCISE
Look at this health problem. Find good advice for each health problem!
Problems Advice
A headache ___ 1. Take some aspirin
A toothace ___ 2. Go to bed and rest
A sore throat ___ 3. Drinks a lot of water
A cough ___ 4. Take some Vit.C
A backache ___ 5. Put some lotion on it
A fever ___ 6. Give taped water compress
A burn ___ 7. Close the mouth when coughing/ sneezing
___ 8. Don’t lift anything heavy
___ 9. Brush the teeth regularly
___ 10. See the Dentist
___ 11. Don’t exercise

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 COURSE BOOK B. INGGRIS II – PART 2

9.1. CONVERSATION BETWEEN NURSE AND PATIENT

Please open the link video bellow, listen to the conversation on each video then share your opinions!

In that clips you will compare the way of the nurse communicate or interact with her patient, when focusing on
the therapeutic and interpersonal aspect or focusing on the clinical aspect.

Introduction to patient 1 Introduction to patient 2

https://www.youtube.com/watch?v=PoI_cJdtvoQ https://www.youtube.com/watch?v=p_0SeHl9qpQ

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 COURSE BOOK B. INGGRIS II – PART 2

9.2. CHECKING VITAL SIGN

It is now common practice for nurses to communicate with patients as much as possible when they are
doing routine nursing task. If nurses talk, the patients become involved in their treatment. As a nurse
take the patient’s vital signs, it will be better a nurse says what she/ he is going to do, explains why she/
he is doing it and give the patient feedback.

USEFUL EXPRESSION
1. Explaining the procedures
• It’s time for me to…
• I just want to…
• I would like to…
• I am going to…
measure your blood pressure
count your pulse
check your respiration
measure your temperature
put this cuff (around your upper arm)
insert this (thermometer) into your armpit

2. Instruction and expression during the implementation

• Would you… lie down on the couch
• Would you mind…(verb– ing) lie flat on the bed
• Please,… roll your sleeve up
• Now, I want you to… give me your right/ left hand
slip off your top things (buka baju)
unbutton your shirt (buka kancing baju)
roll yourself into side lying position
take a deep breath
breathe in… breathe out…
to put this (thermometer) into our mouth

3. Nurse Response 4. Patient’s Response

• OK, Fine. That’s it • Yes, please
• Fine/ good • Okay nurse
• All is done/ Finished • No problem

VOCABULARY
Pulse rate : jumlah denyutan
Tension or compressibility : ketegangan
Beats per minute : denyutan per menit
Expiration-breathing out : hembuskan nafas
Inspiration-breathing in : tarik nafas
Patient’ chart : lembar (penilaian) pasien
Normal pulse rhythm : irama denyutan normal
Rhythm or regularity : irama denyutan/ cepat-lambat

EXERCISE 1. Translate into communicative English!

1. Pak, sekarang saya mau mengukur tekanan darah anda.
2. Silahkan berbaring di tempat tidur itu.
3. Sekarang saya mau masukkan thermometer ini ke ketiak ibu, tolong angkat tangan ibu.
4. Silahkan buka bajunya, saya ingin mengecek pernafasan anda..tarik nafas dalam-dalam, lepaskan
nafas…tarik nafas…lepaskan…
5. Tolong ulurkan lengan kiri Anda, saya akan menghitung denyut nadi.

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 COURSE BOOK B. INGGRIS II – PART 2

CONVERSATION PRACTICE
Situation: A nurse comes to Mr. Jack’s room to take his vital signs
Nurse : Good morning Mr. Jack After the nurse pump the bulb to inflate the
Mr. J : Good morning too, nurse cuff then she puts stethoscope over
Nurse : How are you doing now, Sir? brachialis artery and listens the sound of
Mr. J : I am feeling terrible artery from beginning to ending, after she
Nurse : Terrible! What’s going on with you? gets the result of B/P, she release the cuff
Mr. J : I have pain on my head then puts it back onto trolley
Nurse : I see, do you have any else complaint, Sir? Nurse : Well Mr. Jack, I am going to check
Mr. J : And a little stiff on my leg your temperature now?
Nurse : Okay Mr. Jack, let me check your blood Mr. J : Okay
pressure and your temperature first? Nurse : Could you raise your arm because I’ll
Mr. J : Yes, please put this thermometer on your armpit?
Nurse : Would you mind lying down on the bed Mr. J : Like this nurse?
please? Nurse : Yes, thanks (then the nurse puts it at
Mr. J : No problem his armpit) and now place your left
Nurse : Can I have your arm, Mr. Jack? hand on your shoulder for a moment?
Mr. J : Here it is. Mr. J : With my pleasure.
Nurse : Good… will you roll your sleeve up, Nurse : Very good
please? After 5 minutes, she takes thermometer back
Mr. J : Yes from Mr. Jack’s armpit.
Nurse : Good, now, I want to put this cuff around Nurse : Well Mr. Jack, your blood pressure is
your upper arm then I’ll search your pulse high enough; it’s about 160/90 mmHg
on your inner of lower arm and temperature 37.5 0C, pulse 88
Mr. J : Okay bpm, Rr: 20x/m, I will report to Dr.
Nurse : Now, I am going to pump this bulb to inflate Frank about your complaints. I’ll be
the cuff, maybe you will have tingling on back in a few minute.
your finger for a while but it’s okay. Mr. J : Thank you very much nurse
Mr. J : I see Nurse : You’re welcome

Now Read This:

The normal temperature of a healthy adult ranges from 370C to 37,20C
A temperature of 360C is below normal
A temperature of 380C is above normal
The normal pulse rate of an adult at rest ranges from 72 to 80 beats per minute
72 beats per minute is the maximum normal pulse rate
80 beats per minute is the maximum normal pulse rate

EXERCISE 2. Now complete these sentences:

a) the most suitable temperature for a patient’s room … 200C to 23,30C
b) A … of 370C is normal
c) A pulse rate of 100 beats per minute for an adult at rest is …
d) … blood pressure in a young adult is about 120/80 mm/Hg
e) A pulse rate of 65 beats per minute is …

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 COURSE BOOK B. INGGRIS II – PART 2

10.1. UNDERSTANDING THE MEASUREMENT

USING FAHRENHEIT AND CENTIGRADE (CELSIUS) THERMOMETERS
USEFUL EXPRESSION
Starting an intervention Telling a measurement
I need to take your temperature * It’s 370 C (thirty seven degree centigrade/ Celsius)
I am going to measure your height * You are running a temperature
I would like to count your pulse * You have a temperature (mean the temperature is
I just want to weight you higher than normal because of an illness)
Please weigh yourself on that scale * You weigh 67 kilo.
Asking a measurement * You are 170 cm tall
What is my temperature? * It is …… over…… (telling blood pressure)
blood pressure? * It is within normal limit
pulse?
height?
How much do I weigh?
Is it normal

MEASUREMENT
Some countries they use Fahrenheit in measuring temperature but others centigrade or Celsius. In
Indonesia people are more familiar with Celsius thermometer than Fahrenheit. It is necessary for the
nurse to be familiar with both the centigrade and the Fahrenheit scale.

THE FORMULA TO CONVERT Fahrenheit and Centigrade (Celsius)

Fahrenheit to Centigrade temperature
(Fahrenheit - 32) x 5/9 = Centigrade/ Celsius
Example: Change 2120F to 0C
2120 - 32 = 180
180 x 5/9 = 900/9 = 1000 C
Centigrade to Fahrenheit temperature
(Centigrade x 9/5 )+32 = Fahrenheit
Example: Change 1000C to 0F
1000 x 9/5 = 900/5 = 180
180 + 32 = 2120 F
thermometers look a like
• Both are made of same-sized tube
containing mercury
• The column of mercury in each
thermometer rises to the same height
when placed in a beaker of freezing
water and to the same height in boiling
water
• The centigrade and Fahrenheit
thermometer differ from each other in
the way they are graduated (graduated
scale: pembagian skala)

TYPES OF THERMOMETERS

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 COURSE BOOK B. INGGRIS II – PART 2

VOCABULARY
Celsius : Ukuran Suhu tubuh 370 (00-1000)
Fahrenheit : Ukuran Suhu tubuh 98.60 (320-2120)
Formula : Rumus
Scale : Skala, Timbangan
Convert : merubah
Equivalent : setara
Freezing point : titik beku
Boiling point : titik didih

EXERCISE 1
Match the Fahrenheit and equivalent with Celsius temperatures!
A : What is … degree Fahrenheit?
B : It’s … degree Celsius
a. Ninety __ Nineteen
b. One hundred and four __ Twenty two
c. Seventy two __ Ten
d. Three __ Thirty
e. Fifty __ Thirty two
f. Eighty six __ Forty
g. Sixty six __ Sixteen below zero

EXERCISE 2
Convert the following temperature and report the result!
Example:
2120F = 1000C
“two hundreds and twelve degree Fahrenheit equals a hundred degree Celsius (or centigrade)
1. 98.60 F = …… 0C
2. 102.4 F = …… 0C
0

3. 95.20 F = …… 0C
4. 370 C = …… 0F
5. 35 0 C = …… 0F
6. 410 C = …… 0F

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 COURSE BOOK B. INGGRIS II – PART 2

10.2. PRAKTEK SIMULASI PELAYANAN KESEHATAN

(ESTABLISHING RELATIONSHIP WITH PATIENT)

SAMPLE CONVERSATION
Nurse Dina : Good morning, Sir?
Patient : Good morning, nurse.
Nurse Dina : I want to introduce you to Nurse David, he is a nurse in charge today because my
shift nurse will be over this morning.
Nurse David : How are you feeling today, Sir?
Patient : Not very well I think
Nurse David : Don’t worry, Sir. I will take care of you today.
Your name I written here “Mr. Kevin Adrian Smith Johnson”, how can I address you?
Patient : You may address me Mr. Johnson or you can just call me Kevin
Nurse David : All right Mr. Johnson, we’ll do our best for your better health condition. If you need
something, please just press the call button, me or other nurses will help you.
Patient : OK. Thank you, nurse.
Nurse David : Now, I need to visit other patients. See you later.
Patient : See you.

11.1. PRAKTEK SIMULASI PELAYANAN KESEHATAN

(CHECKING VITAL SIGN)
SAMPLE CONVERSATION
Situation: A nurse comes to Mr. Jack’s room to take his vital signs
Nurse : Good morning Mr. Jack After the nurse pump the bulb to inflate the
Mr. J : Good morning too, nurse cuff then she puts stethoscope over brachialis
Nurse : How are you doing now, Sir? artery and listens the sound of artery from
Mr. J : I am feeling terrible beginning to ending, after she gets the result
Nurse : Terrible! What’s going on with you? of B/P, she release the cuff then puts it back
Mr. J : I have pain on my head onto trolley
Nurse : I see, do you have any else complaint, Sir? Nurse : Well Mr. Jack, I am going to check your
Mr. J : And a little stiff on my leg temperature now?
Nurse : Okay Mr. Jack, let me check your blood Mr. J : Okay
pressure and your temperature first? Nurse : Could you raise your arm because I’ll
Mr. J : Yes, please put this thermometer on your armpit?
Nurse : Would you mind lying down on the bed Mr. J : Like this nurse?
please? Nurse : Yes, thanks (then the nurse puts it at
Mr. J : No problem his armpit) and now place your left hand on your
Nurse : Can I have your arm, Mr. Jack? shoulder for a moment?
Mr. J : Here it is. Mr. J : With my pleasure.
Nurse : Good… will you roll your sleeve up, please? Nurse : Very good
Mr. J : Yes After 5 minutes, she takes thermometer back
Nurse : Good, now, I want to put this cuff around your from Mr. Jack’s armpit.
upper arm then I’ll search your pulse on your Nurse : Well Mr. Jack, your blood pressure is
inner of lower arm high enough; it’s about 160/90 mmHg and
Mr. J : Okay temperature 37.5 0C, pulse 88 bpm, Rr: 20x/m, I
Nurse : Now, I am going to pump this bulb to inflate will report to Dr. Frank about your complaints. I’ll
the cuff, maybe you will have tingling on your be back in a few minute.
finger for a while but it’s okay. Mr. J : Thank you very much nurse
Mr. J : I see Nurse : You’re welcome

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 COURSE BOOK B. INGGRIS II – PART 2

11.2. EXPLAINING MEDICATION

o Medicine: A substance which can cure or prevent a disease, replace vital substance that the body
lacks or relieve symptoms. It is especially in the form of liquid that you drink to cure an illness.
o Drug: A substance used for minor complaints which generally have obvious benefits and negligible
risk; otherwise, most of us would prefer to put up with the complaint. For more serious diseases,
more powerful drugs are required and the risk of adverse reaction is usually higher.

TO CONCLUDE = > ALL MEDICINES ARE DRUGS, WHEREAS NOT ALL DRUGS ARE MEDICINE

There are different ways of giving medication to the patients

1. Medication by inhalation
2. Medication by inunctions (by rubbing of ointment or oil into the skin)
3. Rectal medication ( a tablet or capsule)
4. Medication by dropper
5. Medication by injection (IV: Intravenous Injection, IM: Intramuscular Injection, Subcutaneous or
hypodermic Injection/ medication, Intra-cutaneous or intradermal injection/ medication)
6. Sublingual medication (a tablet is placed under a patient’s tongue until it dissolves)
7. Oral medication (by placing a tablet or capsule on patient’s tongue, then patient swallows the
medicine following a drink of water)

Where do you find medicine?

Pharmacy : 1. a shop/ store that sells medicines and drugs
2. a place in a hospital where medicines are prepared
Drugstore : a shop/ store that sells medicines and also other types of goods, for example:
cosmetics/ toiletries
Dispensary : a place in a hospital, shop/ store, etc. where medicine are prepared for patients

The following abbreviations are commonly used by doctors when they prescribe drugs:
b.i.d : twice a day 1/5 : one fifth/ one over five
t.i.d : three times a day 7/12 : seven twelfth/ seven over twelve
q.i.d : four times a day 0.60 : zero point sixty
p.r.n : when necessary tab : tablets
2 hrly : once every two hours caps : capsules
4 hrly : once every four hours + : add/ plus/ and
a.c : before meals/ on an empty stomach - : minus/ subtract
p.c : after meals/ after food X : times/ multiply
p.o : orally (through the mouth) : : divided
3 x 1 : three times a day = : equal/ same with
3 x 250 mg : three two hundred and fifty milligrams BP : Blood Pressure
120/60 : one hundred and twenty over sixty TPR : Temperature/ Pulse/ Respiration
20x/m : twenty times per minutes (respiration rate) MAR : Medication Administration Record

EXERCISE 1. Answer the questions based on the INSTRUCTION LABEL “EYEDROPS”

instruction label! For soothing and cleansing eyes.
1. What is the purpose of the medicine? Squeeze 2 or more drops into each eye as
2. How to use the medicine? needed. Replace cap.
3. Is there any caution on the label? If there’s any, Do not touch dropper tip to any surface
mention it!

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 COURSE BOOK B. INGGRIS II – PART 2

VOCABULARY
• Prescription : resep dokter
• Receipt : tanda terima
• to relieve : untuk meredakan (sakit)
• to shake : kocok (mengocok)
• one spoonful : satu sendok makan/ takar
• indigestion : salah cerna/ ketidaksanggupan mencerna
• adverse reaction : kontra indikasi/ reaksi penolakan (tubuh) terhadap suatu obat
• Capsule : a small container which has a measured amount of medicine inside and which
dissolves when you swallow it.
• Pill : a small flat round piece of medicine (syn. tablet) that you swallow without
chewing it.
• Ampoule : a small container usually made of glass containing a drug that will be used for
an injection.

USEFUL EXPRESSION
Patient expression related to medication
• How should I take this…
• What is the use of this… (tablet, medicine,
capsule)?(menanyakan kegunaan obat)
• How to use these…(tablets)? (menanyakan dosis)
Oral medication
• Please take this… (one tablet per day/ one tablet
every 8 hours)
syrup one spoonful… (three times a day)
to reduce…(your temperature)
to relieve…+ your (physical problem. e.g. pain,
running nose, cold, etc )
• Here are some tablets/ pills (which) you are to take
…(one) of every…(eight) hours
• Have you taken the medicine?
Giving caution
• Just tell me if there’s something you don’t
understand and I’ll go over it all
• You must call the nurse if there is an
adverse reaction
• Don’t take this more than… (three times/ 8
tablets in 24hours)
• Don’t use it if it makes…(a skin rash)
• Don’t continue if an adverse reaction
occurs
• Take these antibiotics all up
• In case (the tablets) give you indigestion
/make you suffer from indigestion,
please…, please…(take them during/ after
meals)

Now Read This:

When you give a dose in tablet form, you must make up the weight on the prescription from the
smallest number of tablets possible. Example: You must give 1 gram of Sulfasuxidine. The tablets are
labeled 250mg. How many tablets you must give? The answer is 4 tablets.

EXERCISE 2.
a) You must give 0,5 gram of aspirin. You have 2x250mg tablets and 10x50mg tablets. Which do you
give?
b) You must order medicine for the prescription Penicillin 20ml b.d. x 3 days. How many ml of
penicillin will you need for the three days?
c) You must give 5mg of a drug for every 1kg of a patient’s body weight. He weight 65kg. How many
mg do you give?
d) A capsule contains 200mg of a drug. How many gram the drug are there in 10 capsule?
e) You must give one tablet q.ds. How many do you give in three days?

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 COURSE BOOK B. INGGRIS II – PART 2

12.1. ADMISSION TO HOSPITAL

Admission is the act or process of accepting someone into a hospital, clinic, or other treatment facility
as an inpatient. While Admission form/card/ note is part of a medical record that documents the
patient's status (including history and physical examination findings), reasons why the patient is being
admitted for inpatient care to a hospital or other facility, and the initial instructions for that patient's
care.

A nurse needs to ask several questions to fill in the admission form.

There are three basic question types:
• Yes/No: the answer is "yes or no"
• Question-word: the answer is "information"
• Choice: the answer is "in the question"

ADMISSION FORM
Hospital Reg. No. Unit Adm. Date Adm. Time

Complete Name First Name Family Name ID. No.

Age (DOB/POB) Sex Religion Marital Status Occupation

[__] M [__] F [M/ S/ W/ Wr]
Transport Mode [__] WC [__] Walking [__] Stretchers [__] Other
Oriented to Environment [__] Yes [__] No
Permanent Address

ZIP Code Phone No.

Name& Address of Next Kin

ZIP Code. Phone No.

Relationship :
Allergies [__] Food [__] Meds/ Other
Admitting Vital Sign Temp Pulse Respiration B/ P Weight/ Height

Current Medication
1. ..........................................
2. ..........................................
3. ...........................................
HEALTH HISTORY
Last Dose Cardiac Medication Last Dose
................................ ......................................................... ............................
............................... ........................................................ ............................
………………......… …………………………….........…… ............................

PAST MEDICAL & SURGICAL HISTORY Complete By Date

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USEFUL EXPRESSION
Here are several useful expression/questionnaires that might be asked to the patient or patient’s
family to fill in Admission Form
• Complete Name/ Surname • Age (Date of Birth/ Place of Birth)
- What is your complete name? - Where/ when were you born?
- What’s your surname? - Your date of birth, please?
- How do you spell it?
• Occupation
• First Name/ Family Name - What’s your occupation?
- What is your first name? - What’s your father occupation?
- What is your family name?
• Address & Telephone No.
• ID No. - Where’s your address?
- May I know your ID number? - Where do you live?
- May I have your ID number? - Your phone number, please
- May I borrow your ID card?
• Next of Kin
• Marital Status - Who’s your nearest relative?
- Are you married? - Who’s your next of kin?
- Are you single? - Is there any contact person in emergency
case/ situation?
• Religion
- What’s your religion?
Note: In some states, it’s not appropriate to ask this question. It’s necessary to follow the custom

EXERCISE
Now, fill the admission form based on the conversation below!
Mr. Smith : Excuse me, is this emergency room?
Nurse : Yes, this is emergency room.
S : Well I’m Smith Johnson, I got information that my daughter just got an accident and she was sent
to this hospital.
N : Let me check the list first, Sir and what is your daughter name?
S : Her name is Jane Johnson.
N : That’s right Mr. Smith, would you come in and have a seat, please!
S : Thanks a lot, Nurse!
N : Well, Mr. Smith, we have to fill in an admission form first.
S : All right, Nurse!
N : Good, now your daughter complete name is Jane Johnson, can you spell her first name?
S : J-A-N-E and Her last name is J-O-H-N-S-O-N
N : What is her religion?
S : Islam, she is a Moslem.
N : Is she married?
S : No, she is not.
N : And what is she?
S : She is a student.
N : Then when and where was she born?
S : She was born in Sidney on June 13th 2003.
N : Now, where does she live?
S : She lives with us at Cadbury Street No.01. West Rock, Canada.

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 COURSE BOOK B. INGGRIS II – PART 2

N : Do you have phone number, Sir?

S : Yes, sure, my phone number is 0765-84995231
N : It says here ‘Name and Address of Next Kin’ who is her nearest relation in this town that we can
contact in emergency situation?
S : Me and my wife, you can contact me or her if there is something about my daughter
N : Do you live at the same address, Sir?
S : Yes, you right.
N : Okay, is she allergic about something, such as food or drug, Sir?
S : Yes, my daughter has an allergic to penicillin and shrimp.
N : Has she ever suffered from any disease before?
S : Yes she has, she ever has suffered a pharingitis for 4 days.
N : Did you bring her medicine from previous doctor, Mr. Smith?
S : Yes.
N : May I see those medicines, Sir?
S : Here they are (Amoxil 3x500mgs, FG Throches 2x1 tab, Panadol 3x500mgs)
N : Thanks and when did she take these medicines?
S : This morning, Nurse?
N : What about cardiac medicines, did she have it, Sir?
S : No, she hasn’t it.
N : And now, last question, do you know her body weight and height, Sir?
S : If I’m not mistaken, her weight is 45 kg & height 165 cm
N : All right Mr. Smith, I’ll record that. Well I think is enough for the data, if you would like to wait here
for a moment, I will call Dr. Scoot who treat your daughter, to explain you about her condition.
S : Thanks a lot Nurse.
N : No Problem.

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 COURSE BOOK B. INGGRIS II – PART 2

12.2. REINFORCING DIETARY PROGRAM

Dietician is the right consultant to decide what kind of diet a patient should go with. A nurse in charge
has to confirm that the diet program is applied to the patient as scheduled. The nurse has to
communicate the diet program to the patient regularly. The aim of the communication is to reinforce the
program, so that the patient can cope with the program.

NOTES ON DIFFERENT HOSPITAL DIETS

1. A full diet: (or normal diet) where the patient can choose his food for each meal from the menu
2. A light diet: (or soft diet) contain very little fiber and food which is easily digested. i.e. foods made
from refined flour and not including whole grains or seeds
3. A free liquid diet: (or fluid only diet) includes all liquid foods such as soup (strained, creamed or
pureed), drink and cooked refined cereals such as ‘porridge/ gruel’, plain ice-cream, sorbet and
semi-liquid dessert made with milk or gelatin.
4. A clear liquid diet: includes only water, flavored or plain water ice, strained fruit juices, vegetable
water, clear soup and different varieties of tea or coffee without milk
(Taken from English for Nursing and Healthcare, by Robin A. Bradley, page 168)
e.g. - a patient on a liquid diet is not allowed to eat solid food
- a diabetic isn’t allowed to have sugar in his tea or coffee
- personal allergies must be written on the patient’s case notes and the dietician must be
notified

USEFUL EXPRESSION
• Offering food
- What would you like to have for your … breakfast
- What do you like for your … lunch
- What (do/ will) you have for … dinner
- Do you like (certain food) … for your … supper
• Assessment
Are you allergic to … (a certain kind of food)?
• Explaining a Dietary Program
- Now, I want to … explain the dietary food that is good for your health
- I am going to … recommend a dietary program
• Recommending a Diet
- OK you have to go on …
a dietary program
the recommended dietary program
- …………………is/ are good for your health
Fruit
Consuming vegetables
Drinking a lot of water
- You’d better/ You may consume…
more calories/ fruit/ carbohydrate/ green leafy vegetables
a little bit
• Prohibition
- You are prohibited to drink/ to eat… (a certain kind of food or drink)
- You have to/ should avoid …
- to restrict yourself to drink/ to eat

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 COURSE BOOK B. INGGRIS II – PART 2

• Telling Doctor’s Diagnosis

Well according to (doctor’s report/ your physician/ doctor’s note) you have a problem with your …
(stomach/ digestion/ cholesterol/ liver/ blood sugar, etc.)

• Rationale (if patient asks)

- It … contains too much (fat, carbohydrate, etc.)
- Consuming excessive + … (certain kind of food: sweet, rice, etc.
will worsen your condition
aggravate your … (health problem)
increase the cholesterol/ blood sugar, etc.

• Patient Expression
Can I…/ May I…
consume + (a certain kind of food or drink)
order another menu?
borrow … (the dishes)?
have …
a … juice?/ menu list?/ more rice?/ more hot water?, etc.
Nurse Response: Sure/ Certainly (more formal)

• Other Expression
- Did you enjoy your meal?
- Why don’t you eat your food?
- Can I take the dishes now?
- Have a nice meal/ Enjoy your meal When can I start … (drinking/ having a meal)?
- Do you have any problem with your meal?
- Is he portion (we provide) enough for you?
- Don’t take anything to eat before the anesthetic wears off
- You have to wait until the anesthetic has worn off (hilang pengaruhnya) before you eat anything

EXERCISE
Translate these sentences into communicative English
1. Pak, anda mengalami masalah lambung (gastric problem), anda diminta menghindari makanan
yang asam
2. Saya akan menjelaskan program diet yang sesuai dengan kebutuhan anda
3. Apakah porsi makanannya cukup untuk ibu?
4. Apakah bapak mengalami masalah makan?
5. Apakah anda alergi terhadap makanan laut?
6. Ini daftar pilihan menu, silahkan pilih untuk sarapan anda besok
7. Dokter mendiagnosis anda mengalami diabetes elitus, saya menyarankan bapak banyak
mengkonsumsi sayuran hijau
8. Anda harus membatasi diri dalam mengkonsumsi minuman berkarbonasi
9. Maaf, makanan itu mengandung terlalu banyak lemak, anda harus menghindari memakannya.
10. Anda belum boleh mengkonsumsi apapun. Tunggu dulu sampai pengaruh obat biusnya hilang.

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